| NPI | 1861804544 |
|---|---|
| Former Legal Business Name | WALTER R EARNEST, DPM |
| Entity Type | Organization |
| Authorized Contact | WALTER RAY EARNEST Doctor Of Podiatric Medicine 407-782-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL PO1229) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |